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Health care leaders say it's not a matter of doing more with less but struggling to keep the same level of service in light of Gov. Andrew Cuomo's proposed budget.

The $132.9 billion plan calls for billions of dollars in cuts to Medicaid and millions more in public health and aging services.

"We have to think of how we can make the biggest impact, knowing our funding isn't at the level it used to be," said Ann Marie Cook, president and chief executive officer of Lifespan, which provides information and services for seniors and caregivers. ...